Individual provider Active NPI

Ngoc Diep Vu, PA-C

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1174062434
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 60713158 Issued in WA
Practice address
33915 1St Way S Ste 130
Federal Way, WA 98003-6396
Phone
(253) 528-9135
Fax
(206) 859-5776
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 60713158 WA Primary

Addresses

Primary practice location

33915 1St Way S Ste 130
Federal Way, WA 98003-6396

Mailing address

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Other practice location 1

11011 Meridian Ave N Ste 102
Seattle, WA 98133-8967
Phone (206) 859-5777

Other names 1

  • Deb Vu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206002936 WA Practitioner - Physician Assistant 1759653561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

1515 116TH Ave NE
Suite 307
Bellevue, WA 98004-3811
Phone (425) 999-2628

33915 1St Way S
Suite 130
Federal Way, WA 98003-6396
Phone (503) 362-8385

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 60713158WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Physician Assistant CurrentSince Apr 1, 2021 Accepting new patients

Locations

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

33915 1st Way S
Ste 130
Federal Way, WA 98003
Phone (253) 528-9135

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

Interoperability endpoints

  • Direct secure messaging: debvu@frontierdermpartners.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1174062434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33915 1ST WAY S STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036396",
            "telephone_number": "253-528-9135",
            "fax_number": "206-859-5776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 Meridian Ave N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338967",
            "country_code": "US",
            "telephone_number": "206-859-5777",
            "fax_number": "206-859-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "NGOC DIEP",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60713158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEB",
            "last_name": "VU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.